Over-the-counter Drugs in Alaska

1. What are the most commonly purchased over-the-counter drugs in Alaska?

1. In Alaska, some of the most commonly purchased over-the-counter drugs include:

– Pain relievers: Over-the-counter pain relievers like acetaminophen and ibuprofen are frequently purchased in Alaska. These medications are used to relieve minor aches and pains, as well as reduce fever.

– Cold and flu medications: With Alaska’s cold climate and long winter months, cold and flu medications such as decongestants, antihistamines, and cough syrups are popular choices for residents to alleviate symptoms associated with respiratory infections.

– Allergy medications: Due to the prevalence of pollen, dust, and other allergens in Alaska, over-the-counter allergy medications such as antihistamines and decongestants are commonly purchased to help manage allergy symptoms.

– Digestive aids: Over-the-counter digestive aids like antacids, laxatives, and anti-diarrheal medications are popular purchases in Alaska to address common gastrointestinal issues such as indigestion, constipation, and diarrhea.

These are just a few examples of the most commonly purchased over-the-counter drugs in Alaska, and the specific preferences may vary based on individual needs and health conditions. It is always advisable to consult with a healthcare provider or pharmacist before starting any new over-the-counter medication to ensure safety and efficacy.

2. Are there any specific regulations or restrictions on certain OTC drugs in Alaska?

In Alaska, like in all U.S. states, the sale and distribution of over-the-counter (OTC) drugs are subject to regulations set by the Food and Drug Administration (FDA). However, states may also impose additional regulations or restrictions on certain OTC drugs. In Alaska, there are no specific state regulations that significantly differ from federal regulations regarding the sale of OTC drugs. It is essential for retailers and pharmacists in Alaska to comply with federal guidelines on the sale of OTC medications, including age restrictions for certain products and ensuring proper labeling and packaging. Additionally, the state may have specific regulations on the display of OTC drugs in stores and the requirement for pharmacies to provide counseling or information to consumers purchasing these medications. Overall, while there are no unique restrictions on OTC drugs specifically in Alaska, businesses and individuals selling these products must adhere to both federal and state laws to ensure the safe and legal distribution of OTC medications.

3. Can I buy prescription drugs over the counter in Alaska?

No, prescription drugs cannot be purchased over the counter in Alaska. Prescription drugs are only legally available with a valid prescription written by a healthcare provider. Over-the-counter drugs, on the other hand, can be bought without a prescription and are typically used to treat minor health issues. It’s important to consult with a healthcare professional before taking any medication to ensure it is safe and appropriate for your specific condition. Additionally, be aware of the regulations and restrictions regarding the purchase and use of both prescription and over-the-counter drugs in your area to avoid any legal issues or health risks.

4. What are the best over-the-counter remedies for common illnesses in Alaska?

In Alaska, where the weather can be harsh and healthcare facilities are not always easily accessible, having over-the-counter remedies on hand for common illnesses can be crucial. Here are some of the best over-the-counter remedies for common illnesses in Alaska:

1. Cold and Flu: For symptoms such as a sore throat, cough, congestion, and fever, medications like acetaminophen and ibuprofen can help relieve pain and reduce fever. Decongestants like pseudoephedrine or phenylephrine can help with nasal congestion. Antihistamines can be used for runny noses and sneezing.

2. Allergies: Antihistamines like loratadine, cetirizine, or diphenhydramine can help alleviate symptoms of seasonal allergies such as sneezing, itching, and congestion. Nasal sprays containing corticosteroids like fluticasone can also provide relief from nasal congestion and inflammation.

3. Pain Relief: Over-the-counter pain relievers like acetaminophen or ibuprofen can be used to alleviate minor aches and pains, including headaches, muscle aches, and toothaches. Topical pain relief creams containing ingredients like menthol or capsaicin can also provide localized relief.

4. Digestive Issues: For common digestive issues like indigestion, heartburn, or nausea, over-the-counter remedies such as antacids (e.g., Tums, Rolaids) can help neutralize stomach acid. For diarrhea or upset stomach, medications like loperamide (Imodium) can help control symptoms.

It’s essential to read and follow the instructions on over-the-counter medications carefully and consult a healthcare provider if symptoms persist or worsen. Additionally, for more serious illnesses or chronic conditions, seeking professional medical advice is recommended.

5. Are there any local brands of over-the-counter drugs that are popular in Alaska?

Local brands of over-the-counter drugs that are popular in Alaska may include products specifically formulated to address common health concerns in the region. Some popular local brands in the state could be:

1. Alaskare: This brand may offer over-the-counter medications tailored to alleviate symptoms associated with cold weather-related illnesses such as seasonal allergies, colds, and flu.

2. Arctic Relief: This brand might focus on producing pain relief products designed to help individuals cope with issues like muscle aches, joint pain, and other discomforts often experienced due to Alaska’s rugged terrain or harsh weather conditions.

3. Aurora Wellness: This brand could provide a range of natural and herbal remedies that cater to the unique health needs of Alaskans, incorporating traditional indigenous practices and locally-sourced ingredients.

It is important to note that specific local brands may vary, and it is advisable to consult with healthcare professionals for guidance on selecting the most suitable over-the-counter medications for individual health concerns.

6. Are there any natural or herbal over-the-counter remedies that are commonly used in Alaska?

1. In Alaska, there are several natural or herbal over-the-counter remedies that are commonly used by locals and visitors alike. One common remedy is Echinacea, which is believed to support the immune system and help alleviate symptoms of the common cold and flu. Another popular herbal remedy is elderberry, known for its antioxidant properties and immune-boosting effects.

2. Ginger is also frequently used in Alaska for its anti-inflammatory and digestive benefits. It can be found in various forms, such as teas, capsules, or candies, and is often recommended for alleviating nausea and indigestion.

3. Fish oil supplements are another commonly used natural remedy in Alaska due to the state’s abundance of fish and awareness of the health benefits of omega-3 fatty acids found in fish oil. These supplements are taken to support heart health, brain function, and overall well-being.

4. Additionally, valerian root is a popular over-the-counter herbal remedy in Alaska for promoting relaxation and improving sleep quality. It is often used as a natural alternative to traditional sleep aids for those experiencing insomnia or restlessness.

5. While these natural and herbal remedies are commonly used in Alaska, it is essential to consult with a healthcare provider or pharmacist before incorporating them into your routine, especially if you have any underlying health conditions or are taking medications that may interact with these supplements.

In conclusion, natural and herbal over-the-counter remedies like Echinacea, elderberry, ginger, fish oil, and valerian root are commonly used in Alaska for various health benefits. These remedies are easily accessible and can be effective for supporting immune health, digestion, sleep, and overall well-being.

7. How can I safely dispose of expired or unused over-the-counter drugs in Alaska?

In Alaska, safely disposing of expired or unused over-the-counter drugs is important to prevent environmental contamination and misuse. Here are some ways to safely dispose of these medications in the state:

1. Drug Take-Back Programs: Check with local law enforcement agencies, pharmacies, or health departments for information on any drug take-back programs in your area. These programs provide a safe and convenient way to dispose of medications properly.

2. Disposal Guidelines: If a drug take-back program is not available, follow specific disposal guidelines provided by the Food and Drug Administration (FDA) or the Environmental Protection Agency (EPA). These guidelines usually involve mixing the medications with an undesirable substance such as coffee grounds or kitty litter, placing them in a sealed container, and throwing them in the trash.

3. Do Not Flush: Do not flush medications down the toilet unless the drug label specifically instructs you to do so. Flushing medications can contaminate water sources and harm aquatic life.

4. Remove Personal Information: Before disposing of medication packaging, make sure to remove or blackout any personal information to protect your privacy.

5. Controlled Substances: If you have unused controlled substances, such as opioids, it is important to handle their disposal with extra care. Some pharmacies or law enforcement agencies may have specific protocols for the disposal of controlled substances.

6. Consider Environmental Impact: Be mindful of the environmental impact of improper drug disposal. Always choose safe disposal methods that minimize harm to the environment.

By following these guidelines, you can effectively and safely dispose of expired or unused over-the-counter drugs in Alaska, helping to prevent accidental ingestion, drug abuse, or environmental pollution.

8. Are there any over-the-counter drug interactions I should be aware of in Alaska?

When considering over-the-counter drug interactions in Alaska, it is essential to be aware of potential risks associated with combining certain medications. Some common OTC drugs, such as pain relievers like ibuprofen and acetaminophen, may interact with other medications, leading to adverse effects. Here are some factors to consider when evaluating OTC drug interactions in Alaska:

1. Weather conditions: Alaska’s extreme weather conditions, including cold temperatures and low humidity, can impact how medications are absorbed and metabolized in the body. It is important to consider these factors when taking OTC drugs that may have specific temperature or storage requirements.

2. Altitude and air pressure: If you are traveling to high-altitude areas in Alaska, such as Denali or the surrounding mountain regions, changes in altitude and air pressure can affect how medications work in your body. Some drugs may have a different impact on your system at higher elevations, so it is crucial to be aware of these potential interactions.

3. Potential interactions with prescription medications: If you are already taking prescription medications, certain OTC drugs could interact with them and lead to unwanted side effects or reduced effectiveness. Always consult with a healthcare provider or pharmacist before combining OTC drugs with prescription medications to avoid any potential drug interactions.

4. Individual health conditions: Certain health conditions, such as kidney or liver impairment, allergies, or gastrointestinal issues like ulcers, can impact how your body processes and reacts to OTC medications. Be mindful of your health status and any pre-existing conditions when considering over-the-counter drug interactions in Alaska.

In summary, when it comes to over-the-counter drug interactions in Alaska, consider factors such as weather conditions, altitude, potential interactions with prescription medications, and individual health conditions to ensure safe and effective use of OTC drugs. Consulting a healthcare provider or pharmacist can provide personalized guidance on avoiding any adverse drug interactions based on your specific circumstances.

9. What are some of the most common side effects of popular over-the-counter drugs in Alaska?

Some of the most common side effects of popular over-the-counter drugs in Alaska can vary depending on the specific type of medication being used. However, there are some general side effects that are commonly associated with certain categories of over-the-counter drugs. Here are a few examples:

1. Painkillers such as acetaminophen or ibuprofen can cause stomach upset, nausea, or ulcers if used in high doses or for prolonged periods.
2. Antihistamines like loratadine or diphenhydramine may lead to drowsiness, dry mouth, or blurred vision.
3. Decongestants such as pseudoephedrine can cause insomnia, increased heart rate, or elevated blood pressure.
4. NSAIDs like aspirin or naproxen may result in gastrointestinal bleeding, kidney problems, or allergic reactions in some individuals.

It is essential for individuals in Alaska or anywhere else to carefully read the labels and follow the recommended dosages of over-the-counter drugs to minimize the risk of experiencing these side effects. If any side effects persist or worsen, it is advisable to consult a healthcare professional for guidance.

10. Can I purchase over-the-counter drugs online in Alaska?

Yes, you can purchase over-the-counter drugs online in Alaska. Here are some key points to consider when buying OTC drugs online in the state:

1. Legitimacy: Make sure to purchase from reputable online pharmacies that are licensed and regulated.
2. Prescription Requirement: OTC drugs do not require a prescription, but be cautious of websites that claim otherwise.
3. Verify Site: Check that the online pharmacy has a secure website with contact information and a licensed pharmacist available for consultation.
4. Shipping Restrictions: Confirm that the online pharmacy can ship to Alaska and inquire about any additional shipping fees or delays.
5. Price Comparison: Compare prices of OTC drugs across different online pharmacies to ensure you are getting a competitive price.
6. Return Policy: Review the online pharmacy’s return policy in case you need to return or exchange any products.
7. Dosage and Usage Information: Ensure that the website provides detailed information on the correct dosage and usage of the OTC drugs you are purchasing.
8. Customer Reviews: Read customer reviews and feedback to gauge the reliability and quality of products offered by the online pharmacy.
9. Expiration Dates: Check the expiration dates of the OTC drugs to ensure they are not expired or near expiration.
10. Consult a Healthcare Professional: If you have any concerns or questions about purchasing OTC drugs online, it’s best to consult with a healthcare professional for guidance.

11. Are there any over-the-counter drugs that are commonly abused in Alaska?

1. In Alaska and across the United States, certain over-the-counter drugs are commonly abused. One of the most notable examples is cough and cold medications containing dextromethorphan (DXM). These medications, such as Robitussin or NyQuil, can produce hallucinogenic effects and dissociation when taken in high doses, making them attractive to individuals seeking a cheap and easily accessible high.

2. Another over-the-counter drug that is often abused in Alaska is loperamide, the active ingredient in anti-diarrheal medications like Imodium. Loperamide can cause euphoria and suppress withdrawal symptoms in individuals with opioid addiction, leading to its misuse in attempts to self-treat opioid dependence or to achieve a high.

3. Lastly, some allergy medications containing pseudoephedrine have the potential for abuse due to their stimulant effects. Pseudoephedrine is often used in the illicit production of methamphetamine, leading to restrictions on its sale and monitoring in many states, including Alaska.

It is important for healthcare providers, pharmacists, and the community in Alaska to be aware of the potential for abuse of these over-the-counter drugs and to take appropriate steps to educate the public and prevent misuse. Pharmacies may have restrictions in place to limit the purchase of these medications, and individuals should always use over-the-counter drugs as directed by a healthcare professional.

12. How can I find a reputable pharmacist or healthcare provider to discuss over-the-counter drug options in Alaska?

To find a reputable pharmacist or healthcare provider in Alaska to discuss over-the-counter drug options, here are some steps you can take:

1. Ask for Recommendations: Reach out to friends, family members, or colleagues in Alaska for referrals to reliable pharmacists or healthcare providers they trust.

2. Check Online Reviews: Look up reviews on websites such as Google, Yelp, or Healthgrades to see the ratings and feedback from other patients about different pharmacies or healthcare providers in Alaska.

3. Contact Local Hospitals or Clinics: Hospitals and medical clinics often have pharmacists or healthcare providers on staff who can provide guidance on over-the-counter drug options. Contact them for recommendations.

4. Use Online Directories: Utilize online directories like the Alaska Board of Pharmacy or professional associations like the Alaska Pharmacists Association to find licensed pharmacists in your area.

5. Consult with Your Primary Care Provider: Your primary care doctor can also be a good resource for recommending a reputable pharmacist or healthcare provider who specializes in over-the-counter medications.

By following these steps, you can find a reputable pharmacist or healthcare provider in Alaska who can assist you in discussing over-the-counter drug options that suit your needs and preferences.

13. Are there any specific guidelines for storing over-the-counter drugs in Alaska’s climate?

1. Over-the-counter drugs should be stored according to the manufacturer’s instructions, which typically recommend storing them at room temperature in a dry place.
2. Extreme temperatures, such as those commonly experienced in Alaska, can affect the efficacy and safety of medications. High temperatures can cause drug degradation and low temperatures can alter the chemical composition of the drugs.
3. In Alaska’s cold climate, it is important to avoid storing medications in locations where they may freeze, such as in unheated areas or in vehicles during winter months.
4. Additionally, it is recommended to keep medications away from direct sunlight, moisture, and humidity, as these factors can also degrade the medications.
5. It may be beneficial to store over-the-counter drugs in a climate-controlled environment, such as a medicine cabinet inside the home, to ensure they maintain their potency and effectiveness.
6. When traveling in Alaska, especially during colder seasons, it is essential to transport medications in insulated containers to protect them from extreme temperatures.
7. Always check the storage instructions on the medication’s packaging and consult with a pharmacist if you have any concerns about storing over-the-counter drugs in Alaska’s climate.

14. What over-the-counter drugs are recommended for tourists visiting Alaska?

When visiting Alaska as a tourist, it is important to consider bringing along a specific set of over-the-counter drugs to address common health concerns that may arise while exploring the state’s unique environment. Some recommended over-the-counter drugs for tourists visiting Alaska include:

1. Motion sickness medication: Alaska’s rugged terrain and long stretches of road can lead to motion sickness, especially during boat rides or flights. Medications like Dramamine or Bonine can help alleviate symptoms of motion sickness.

2. Sunscreen: Even in cold climates, the sun’s rays can be intense, especially during the summer months when the days are long. Bringing along a high-SPF sunscreen can protect your skin from sunburn and potential long-term damage.

3. Insect repellent: Alaska is known for its mosquitoes and other biting insects, especially during the summer season. Packing insect repellent containing DEET or picaridin can help prevent bug bites and potential diseases they may transmit.

4. Pain relievers: Whether from hiking, skiing, or other outdoor activities, muscle soreness or minor injuries can occur. Ibuprofen or acetaminophen can help alleviate pain and reduce inflammation.

5. Anti-diarrheal medication: Changes in diet or water consumption can sometimes lead to digestive issues while traveling. Having an anti-diarrheal medication like Imodium on hand can provide relief and prevent dehydration.

6. Allergy medication: Alaska’s diverse flora can trigger allergies in some individuals. Bringing along an antihistamine like Claritin or Zyrtec can help manage symptoms of seasonal allergies.

7. Cold and flu medication: Sudden changes in temperature or exposure to viruses can lead to cold or flu symptoms. Packing cold or flu medication containing decongestants, cough suppressants, and pain relievers can help alleviate symptoms and make your trip more comfortable.

Remember to consult with a healthcare professional before taking any new medication, especially if you have underlying health conditions or are taking other prescription medications. Additionally, always follow the recommended dosages and guidelines provided on the packaging of each over-the-counter drug.

15. Are there any over-the-counter drugs that are recommended for outdoor enthusiasts in Alaska?

Yes, there are several over-the-counter drugs that are recommended for outdoor enthusiasts in Alaska due to the specific challenges of the region’s climate and outdoor activities. Some of these OTC drugs include:

1. Ibuprofen or naproxen: These nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain that may result from activities such as hiking, skiing, or fishing in Alaska’s rugged terrain.

2. Antihistamines: Alaska is known for its abundant wildlife and beautiful flora, but this also means exposure to allergens. Antihistamines like loratadine can help alleviate allergy symptoms caused by pollen or animal dander.

3. Sunscreen: Even though Alaska is known for its cold climate, the sun’s UV rays can still be intense, especially during the summer months. It’s important for outdoor enthusiasts to protect their skin with a broad-spectrum sunscreen to prevent sunburn and skin damage.

4. Insect repellent: Alaska is home to mosquitoes, biting flies, and other insects that can be bothersome, especially in the warmer months. Using an insect repellent containing DEET can help prevent bug bites and potential diseases they may carry.

5. Antidiarrheal medication: Changes in diet or water consumption during outdoor activities can sometimes lead to stomach issues. Having an antidiarrheal medication like loperamide on hand can help manage symptoms quickly and effectively.

It’s essential for outdoor enthusiasts in Alaska to be prepared with these over-the-counter drugs to ensure a safe and enjoyable experience in the beautiful but challenging wilderness of the state.

16. Are there any over-the-counter drugs specifically recommended for cold or flu season in Alaska?

Yes, there are over-the-counter drugs specifically recommended for cold or flu season in Alaska. During the cold and flu season, it is crucial to have medicines on hand that can help alleviate common symptoms. Some recommended over-the-counter drugs for cold and flu season in Alaska include:

1. Pain relievers such as acetaminophen or ibuprofen to reduce fever and relieve body aches.
2. Decongestants like pseudoephedrine or phenylephrine to help with nasal congestion.
3. Antihistamines such as loratadine or diphenhydramine to alleviate sneezing and runny nose.
4. Cough suppressants like dextromethorphan to help control coughing.
5. Expectorants such as guaifenesin to loosen mucus and make coughing more productive.

It is important to consult with a healthcare provider or pharmacist before taking any over-the-counter medications to ensure they are safe and appropriate for your specific condition, especially if you have underlying health conditions or are taking other medications.

17. What over-the-counter drugs are commonly used for pain relief in Alaska?

In Alaska, commonly used over-the-counter drugs for pain relief include:

1. Acetaminophen: Also known as Tylenol, acetaminophen is a popular choice for mild to moderate pain relief. It is often used for headaches, muscle aches, and fevers.

2. Ibuprofen: Brands such as Advil and Motrin contain ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce pain, inflammation, and fever. It is commonly used for various types of pain, including muscle aches, menstrual cramps, and arthritis.

3. Aspirin: Aspirin is another NSAID that can provide pain relief and reduce inflammation. It is often used for conditions such as headaches, toothaches, and minor aches and pains.

4. Naproxen: Brands like Aleve contain naproxen, another NSAID that is commonly used for pain relief. It can be effective for conditions like arthritis, back pain, and menstrual cramps.

5. Topical analgesics: These are over-the-counter pain relief products that are applied directly to the skin, such as creams, gels, or patches. They can provide localized relief for muscle aches, joint pain, and other types of discomfort.

When using over-the-counter drugs for pain relief in Alaska or anywhere else, it is important to carefully read and follow the instructions on the label, adhere to the recommended dosage guidelines, and consult a healthcare professional if you have any questions or concerns about their use and potential interactions with other medications or health conditions.

18. Are there any over-the-counter drugs that are particularly effective for allergies in Alaska?

1. Over-the-counter antihistamines are the go-to option for managing allergies in Alaska. These medications can help alleviate symptoms such as sneezing, itching, and runny nose caused by allergies to pollen, dust, pet dander, or molds which are prevalent in the region. Some common antihistamines available over-the-counter include loratadine (Claritin), cetirizine (Zyrtec), and fexofenadine (Allegra).

2. Nasal corticosteroid sprays are also effective for managing allergy symptoms in Alaska. These medications reduce inflammation in the nasal passages and can help alleviate congestion, runny nose, and sneezing. Examples of nasal corticosteroid sprays that are available over-the-counter include fluticasone (Flonase) and triamcinolone (Nasacort).

3. Decongestants, such as pseudoephedrine (Sudafed), can help relieve nasal congestion caused by allergies. However, it’s important to note that decongestants should be used with caution as they can have side effects such as increased blood pressure and should not be used by individuals with certain medical conditions.

4. It’s important to consult with a healthcare provider or pharmacist before starting any new medication, even if it is available over-the-counter. They can provide guidance on the most suitable options for managing allergies based on your specific symptoms and medical history.

19. How can I determine the appropriate dosage of over-the-counter drugs for children in Alaska?

Determining the appropriate dosage of over-the-counter drugs for children in Alaska involves several important considerations to ensure their safety and effectiveness. Here are several steps you can take:

1. Consult healthcare providers: Reach out to your child’s pediatrician or healthcare provider for guidance on the correct dosage of the OTC drug based on your child’s age, weight, and medical history. They can provide personalized recommendations.

2. Read the medication label: Carefully review the instructions on the OTC drug packaging, as dosages for children are often provided by age and weight. Follow these guidelines closely, as they are usually based on extensive research and clinical trials.

3. Use dosage charts: Some OTC medications come with dosage charts specifically tailored for children. These charts can be helpful in determining the correct dosage based on your child’s weight or age.

4. Consider the child’s age and weight: Children’s dosages are usually based on weight, so it’s important to know your child’s current weight when determining the appropriate dosage. Make sure to use the most recent weight measurement for accuracy.

5. Be cautious with liquid medications: Pay close attention to the measuring tool provided with liquid medications as slight variances in dosage can occur with different types of syringes or measuring spoons. Make sure to use the correct measuring tool to avoid dosing errors.

6. Avoid “guessing” doses: Do not guess the dosage based on adult recommendations or previous dosages used for a similar medication. It’s crucial to always follow the specific recommendations for children provided by the medication manufacturer or healthcare provider.

7. Monitor for side effects: After administering the medication, closely monitor your child for any potential side effects. If you notice any adverse reactions, contact a healthcare provider immediately.

By following these steps and seeking guidance from healthcare professionals, you can determine the appropriate dosage of over-the-counter drugs for children in Alaska safely and effectively.

20. Are there any over-the-counter drugs that are recommended for prevention or treatment of altitude sickness in Alaska?

1. One over-the-counter drug that is commonly recommended for the prevention and treatment of altitude sickness in Alaska is acetazolamide (brand name Diamox). Acetazolamide helps to decrease symptoms of altitude sickness, such as headache, tiredness, nausea, dizziness, and shortness of breath, by increasing the amount of urine produced, which in turn helps the body get rid of excess fluid that can build up at high altitudes.

2. Aside from acetazolamide, over-the-counter pain relievers such as ibuprofen or acetaminophen may be helpful for managing symptoms of altitude sickness such as headaches or body aches. These medications can help alleviate discomfort and allow individuals to better adjust to the high altitude environment.

3. It is important to note that while these over-the-counter medications can be helpful in managing symptoms of altitude sickness, the best way to prevent altitude sickness is gradual acclimatization to higher altitudes, staying hydrated, and avoiding alcohol and tobacco products. Additionally, it is always recommended to consult with a healthcare professional before taking any medication to prevent or treat altitude sickness, especially if you have any underlying health conditions or are taking other medications.